2008
DOI: 10.1007/s00405-008-0665-1
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Surgery of adult bilateral vocal fold paralysis in adduction: history and trends

Abstract: Bilateral vocal fold paralysis (BVFP) in adduction is characterised by inspiratory dyspnea, due to the paramedian position of the vocal folds with narrowing of the airway at the glottic level. The condition is often life threatening and therefore requires surgical intervention to prevent acute asphyxiation or pulmonary consequences of chronic airway obstruction. Aside from corticosteroid administration and intubation, which are only temporary measures, the standard approach for improving respiration is to perf… Show more

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Cited by 106 publications
(157 citation statements)
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“…These methods commonly involve arytenoidectomy, chordotomy, and cordectomy which reshape the glottis by means of shifts of existing anatomical structures. 7 However, the disadvantage of these procedures is that the changes associated with these procedures are often permanent and irreversible. Other experimental procedures like artificial laryngeal pacing, 8 injections of botulinum toxin 9 into the cricothyroid muscle are being practiced; however, further research in this area is required.…”
Section: Ijoplmentioning
confidence: 99%
“…These methods commonly involve arytenoidectomy, chordotomy, and cordectomy which reshape the glottis by means of shifts of existing anatomical structures. 7 However, the disadvantage of these procedures is that the changes associated with these procedures are often permanent and irreversible. Other experimental procedures like artificial laryngeal pacing, 8 injections of botulinum toxin 9 into the cricothyroid muscle are being practiced; however, further research in this area is required.…”
Section: Ijoplmentioning
confidence: 99%
“…It is part of the upper respiratory tract, a speech organ and a protective barrier for the lower respiratory tract against aspiration and choking on food. 1 Impaired morphology of the larynx or the mobility of the structures result in the impairment of at least one of the functions of the organ. Bilateral vocal fold paralysis (BVFP) is an example of a condition in which both airway hydrodynamics and phonation are affected.…”
mentioning
confidence: 99%
“…There are many surgical techniques for laryngeal airway enlargement in patients with bilateral vocal fold immobility (7,8). Reconstructive procedures should be the treatments of choice, while destructive procedures should be chosen only if the recovery of nerve function is no longer to be expected.…”
mentioning
confidence: 99%